Provider Demographics
NPI:1003867102
Name:FOLEY, MATTHEW D (OD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:FOLEY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:100 MACY ST
Mailing Address - Street 2:STE K
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4315
Mailing Address - Country:US
Mailing Address - Phone:978-792-4400
Mailing Address - Fax:978-378-3385
Practice Address - Street 1:77 MACY ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4128
Practice Address - Country:US
Practice Address - Phone:978-792-4400
Practice Address - Fax:978-378-3385
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2020-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA4394152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0703150Medicaid
NH3076401Medicaid
U95952Medicare UPIN
MA0703150Medicaid